ALTA MESA HEALTH AND REHABILITATION
NPI 1043864986
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Mesa, AZ

Active since July 29, 2019CLIA 03D0529080 · Waiver
5848 E UNIVERSITY DR, MESA, AZ 85205(480) 981-0098(480) 396-3023 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2022, Jul 29, 2019 (2 updates tracked since 2019).

About Alta Mesa Health And Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTA MESA HEALTH AND REHABILITATION (NPI 1043864986) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Mesa, Arizona and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Soon Burnam, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1043864986
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameGOLDFIELD MOUNTAIN HEALTHCARE LLC
Location Address5848 E UNIVERSITY DRMesa, AZ 85205-7443
Mailing Address5848 E University DrMesa, AZ 85205-7443 · (480) 981-0098 · Fax (480) 396-3023
Fax(480) 396-3023
Organization SubpartNo
Authorized OfficialSoon BurnamTreasurer · (949) 540-1249
Enumeration DateJuly 29, 2019
Last NPPES UpdateJuly 20, 20222 updates tracked since enumeration
NPPES CertifiedJuly 20, 2022
NPI 1043864986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code261QR0401X
5848 E UNIVERSITY DR, Mesa, AZ 85205

Other Names 1

Doing Business AsAlta Mesa Health And Rehabilitation

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0529080

Alta Mesa Health And Rehabilitation · Mesa, AZ
Active · expires Aug 31, 2026
CLIA Number03D0529080
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAnil Nanda
Laboratory Phone(480) 981-0098
Laboratory LocationAlta Mesa Health And Rehabilitation5848 E University Dr, Mesa, AZ 85205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
5848 E UNIVERSITY DR
MESA, AZ 85205
Skilled Nursing Facility
5848 E UNIVERSITY DR
MESA, AZ 85205
Nurse Practitioner (Family)
5848 E UNIVERSITY DR
MESA, AZ 85205
Assisted Living Facility
5848 E UNIVERSITY DR
MESA, AZ 85205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Goldfield Mountain Healthcare LLC's NPI number?

The NPI number for Goldfield Mountain Healthcare LLC is 1043864986. It was assigned to this organization in the NPPES registry on July 29, 2019. The provider is doing business as Alta Mesa Health And Rehabilitation.

Where is Goldfield Mountain Healthcare LLC located?

Goldfield Mountain Healthcare LLC is located at 5848 E University Dr, Mesa, AZ 85205. The listed phone number is (480) 981-0098.

What is Goldfield Mountain Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

Does Goldfield Mountain Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0529080) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Goldfield Mountain Healthcare LLC was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.